Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM 87131, USA.
Obstet Gynecol Clin North Am. 2012 Sep;39(3):359-66. doi: 10.1016/j.ogc.2012.05.004. Epub 2012 Aug 11.
Certified Nurse-Midwives (CNMs) and Obstetrician-Gynecologists (OBGs) have a long history of successful collaborative practice serving Native American women from the 1960s. CNMs provide holistic, patient-centered care focusing on normal pregnancy and childbirth. OBGs support CNMs with consultation services focusing on complications during pregnancy and specialty gynecology care. Collaborative care in Indian Health Service and Tribal sites optimizes maternity care in a supportive environment, achieving excellent outcomes including low rates of cesarean deliveries and high rates of successful vaginal birth after cesarean.
认证的助产士（CNMs）和妇产科医生（OBGs）从 20 世纪 60 年代开始就有着成功合作的历史，为美国原住民妇女提供服务。CNMs 提供整体的、以患者为中心的护理，专注于正常的妊娠和分娩。OBGs 通过咨询服务支持 CNMs，专注于妊娠期间的并发症和妇科专业护理。在印第安人健康服务和部落场所的协作护理，在支持性的环境中优化了产妇护理，实现了出色的结果，包括较低的剖宫产率和较高的剖宫产术后阴道分娩成功率。
